title: Methods of central vascular access for haemodialysis.
abstract: The basic form of renal replacement therapy is haemodialysis. The duration and efficacy of this treatment depends on well-functioning vascular access. Short-term or long-term catheters are used if the arterial-venous fistula placement is not possible or not indicated. According to the recommendations of the NKF DOQI (National Kidney Foundation Disease Outcomes Quality Initiative), the first choice of access is the right internal jugular vein, and the next are the left internal jugular, femoral and subclavian vein. In this article, we present approaches to the abovementioned veins for haemodialysis cathether insertion as well as catheter tip positioning in the venous system to prevent serious complications.
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, Military Institute of Medicine in Warsaw, Poland. jles@wim.mil.pl.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Leś
authors.forename: Zofia
authors.initials: Z
authors.lastname: Wańkowicz
mesh_terms: D000818:Animals; D002405:Catheterization, Central Venous / Q000379:methods*; D005268:Femoral Vein; D006801:Humans; D007601:Jugular Veins; D006435:Renal Dialysis / Q000379:methods*; D013350:Subclavian Vein; D013997:Time Factors